FORM OF APPLICATION FOR FACULTY RECRUITMENT BY SELECTION

( Note: Please read enclosed "Instructions and Information to Candidates” before filling this form)

1. Post for which you are applying Department

2. Name in full with surname

(in block letters)

3
. 7. Father’s Name

P Affix8.
latest PassportName
Mother’s
o size photo
s 9.Date of Birth
t
a 10. Put
l mark(
NET SET GATE FET Others
and
a indicate,
d performance and
d Enclose certificate
r
e
s 11. Whether you belong to
s SC/ST/OBC(A,B,C,D,E)/OC
t
Aadhaar Card No……………...
o
………………………………………
w
PAN Card No………………………
h
………………………………………
i
c
JNTUH ID No………………………
h
………………………………………
Communications should be
sent:
(Telephone / Cell Phone No,
E-mail ID and PIN Code must be
included

4. E-mail address

5.Telephone No. with STD Code

6. Cell No.
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12. Particulars of examinations passed and degrees/diplomas obtained (commencing with the
Matriculation or equivalent examination). Where a degree/diploma has been obtained by private
Appearance/ Distance education, this should be specifically mentioned in brackets in col. .2 of the
Table

Year in which Percentage of

UniversityIn
(OR) marks
Degree/ Class or
Degree/Diploma Board Institute/ Specialization
Diploma has Division
Boar College
been obtained

13. Give details of your employment in chronological order

Name & Address of the Basic pay Total Reasons for

Post held From To Scale of pay
Institute/ Firm/Office Last drawn Emoluments leaving the post
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14. Give below details of the experience gained during your employment.

S. .No. Type of experience From To Number of years

01. Teaching in College/University

02. Teaching to Post Graduate Classes

03. Guiding Research

04. Industrial experience

05. Administrative experience

06. Total experience

15. Give details of Research Work done and list the ……………………………………………………………………………………
research publications:
(Separate sheet to be enclosed, if necessary) …………………………………………………………………………………………

16. Give the details of sponsored projects carried out or ………………………………………………………………………………….

consultancy services provided with duration and amount : ………………………………………………………………………….

17. If appointed, how much notice is required for

joining the post?

18. Additional remarks (Applicant may mention any

special achievements or experience not covered
above - separate sheet to be enclosed if
necessary: …………………………………………………………………..

20. Details of enclosures:

i) __________________________________ v) _____________________________________

ii) __________________________________ vi) ______________________________________

iii) __________________________________ vii) ______________________________________

iv) __________________________________ viii) ______________________________________

DECLARATION TO BE SIGNED BY THE CANDIDATE

I hereby declare that, the details furnished in this application are true to the best of my knowledge.

Date

Place: Signature of Applicant